International Medical Journal

Journal ID : IMJ-20-07-2020-542

Total View : 335

Title : Rifaximin in hepatic encephalopathy: A review of the literature

Abstract : Hepatic encephalopathy (HE) is a serious complication of liver cirrhosis with a great socioeconomic impact, which impairs the quality of life of patients. Non-absorbable disaccharides and rifaximin are the most commonly used treatments along with the correction of precipitating factors. There are few randomized-controlled trials and many of the current treatment recommendations are based on clinical practice. Rifaximin should start during an episode of HE if there is no clinical improvement after 24-48 hours of non-absorbable disaccharides therapy. Rifaximin as an add-on therapy to lactulose is prudent in recurrent HE in patients who develop a new episode. Rifaximin has proven an effective treatment option for overt HE and in the prevention of recurrence.
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International Medical Journal

Journal ID : IMJ-14-07-2020-537

Total View : 449

Title : Awareness of COVID-19 Infection Control Practices among Nursing Professionals in Saudi Arabia

Abstract : The rapid spread of COVID-19 has caused challenges worldwide and affected the mental status of the population including nurses. Nurses play a vital role in dealing with COVID-19 victims. This study was aimed to determine nurses’ awareness and perception towards infection control measures against the COVID- 19 pandemic in Saudi Arabia. The hospital-based cross-sectional study design and the data were collected from all regions of Saudi Arabia from May to June 2020 through a self-administered questionnaire. Descriptive statistics included frequency distributions with percentages. In addition, the study evaluates the differences in the level of knowledge; practice and attitude in association of socio-demographic variables between the nurses were applied by Chi-square test. A total of 534 nurses were participated in this study resulting in 71% response rate. Of the participants 201 (37.6%) were Saudi nationals and 333 (62.4%) were non-saudi nationals The findings showed that nurses and nurse interns in Saudi Arabia have a high level (85%) of knowledge and a positive attitude towards Covid19 outbreak. It also reveals that participants are highly satisfied (84 %) toward hospital managements and patients’ reception (91 %) to combat COVID-19 in Saudi Arabia. On the other hand, there is statistically significant difference (P-value < 0.05) present between Saudi, non-saudi nurses and area of work location in association of level of knowledge, practice and attitude toward COVID-19. There is a clear need for training programs to improve the understanding of the risks and prevention strategies among nursing professionals for infection control during COVID-19 pandemic in Saudi Arabia.
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International Medical Journal

Journal ID : IMJ-05-07-2020-530

Total View : 365

Title : DETERMINANTS OF PAIN MANAGEMENT PRACTICES AMONG JORDANIAN NURSES: APPLYING THE HEALTH BELIEF MODEL

Abstract : Pain management has become a major concern for the major international health organizations in the last decade. Pain management can be said to be all the necessary steps employed by health practitioners to ease patients of their pain and to generally improve their quality of life. The Health Belief Model was developed by social scientists at the U.S Public Health Service in order to understand the failure of people to adopt disease prevention strategies or screening tests for the early detection of disease. This study is aimed at evaluating the Health Belief Model (HBM), thereby assessing its ability to adequately estimate nurses' practices in tending to a patient's pain. A cross-sectional study was conducted. 600 questionnaires were distributed through thirteen public hospitals located in the central region of Jordan. Questionnaire validity was confirmed by three experts in pain management. The reliability of the questionnaire was duly confirmed to be 0.98 by Coefficient alpha. The Findings show a percentage as high as 69% which occurs as a result of patients' barriers and self-efficacy regarding pain management. The HBM provides a useful framework for investigating predictors of pain management practices.
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International Medical Journal

Journal ID : IMJ-03-07-2020-526

Total View : 387

Title : Impact of Immunological Factors in Pregnancy Wastage: Fact or Fiction

Abstract : Repeated pregnancy failure is a serious problem in which numerous issues show a vital part. Accumulating body of evidence suggests a role for the anticardiolipin antibodies, antibrucella antibodies and hepatitis B surface antigen in the etiology of abortion. The objective of the present study was to estimation serum levels of anticardiolipin antibodies, antibrucella antibodies and hepatitis B surface antigen among the recurrent aborting women, unsolved pregnancy damage and intrauterine fatal demises (IUFD). One hundred &twenty (120) women were enrolled in this prospective case-controlled study conducted from September 2017-September 2019, at Maternity Hospital, Erbil City, Iraq. They were (60) patients with a history of three & more attacks of previous miscarriage with a history of hepatitis or brucellosis involved and investigations for the infections (CMV, rubella and toxoplasmosis) were negative and (60) healthy pregnant. All were screened for ACL-IgG, antibrucella antibodies and HBsAg in serum. Results revealed that (19/60, 31.7%) of the patients & (7/60, 11.67%) healthy control were positive for ACL-IgG with a mean concentration of 38±10.3 IU/ml in the patients group, and 11.6±4.4 IU/ml in the healthy control with highly significant at (p≤0.01). The distribution for (ACL with antibrucella & HbsAg) in the patients’ group were as such; 3/19 (15.79%), 6/19 (31.58%) respectively among the seropositive ACL patients with statically significant at (p < .05). This study concluded that Anticardiolipin constitute an important cause of recurrent mid-trimester abortion in Iraqi, women. Also, there is an increasing evidence of the human pathogenicity of Brucella organisms and hepatitis B virus, especially as agents of adverse pregnancy outcome.
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International Medical Journal

Journal ID : IMJ-02-07-2020-525

Total View : 397

Title : Analysis of road traffic accidents hot spots in Semey, Kazakhstan

Abstract : Geospatial analysis is quite widely used in road traffic accident (RTA) prevention. The purpose of this study was to analyze the accident hot spots in Semey, Kazakhstan. Material and methods: design a cross-sectional study. 244 RTAs were analyzed for the period from January 1, 2018 to December 31, 2018. The ambient temperature at the time of the RTA was analyzed as an additional factor. An assessment of the density of the nucleus was used, as well as estimates of the hot spots for the occurrence of accidents based on the Getis-Ord Gi index. Geospatial analysis was carried out in the ArcGIS 10.7 program (ESRI, USA). Results: When assessing the core density for all RTA points, the highest density (15.7-21.8 cases per square kilometer) was obtained in the central part of the city. There are differences in the location of RTA hotspots depending on the season of the year. The worst situation is observed in the offseason, especially in October (an increase in the number of accidents to 11.1% and victims to 10.8%). Conclusion: RTA hot spots of Semey city were identified. The city government needs a plan of measures to eliminate them, as well as a set of measures to work with drivers and pedestrians, as with the two most frequent groups of participants in RTA.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 06 )
20 Jun 2023

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Publish On ( Vol 30 , Issue 05 )
31 May 2023